Prolonged trapezing during sailing often results in low back pain among elite sailors. Modifications of the trapeze harness have been proposed as one approach to ameliorating this problem. To evaluate six harnesses incorporating novel features that had tested well during pilot work, myoelectric activity was monitored at C5, T6, and L5 levels of sacrospinalis and at an abdominal site while five elite sailors wore the harnesses. Integrated EMG (IEMG) values were stored by a microcomputer at periodic intervals during each 10-min trial, as each subject maintained a static horizontal trapezing position in the laboratory. Factorial repeated-measures ANOVA indicated no change in IEMG values over time, but significant (p<0.001) differences among harnesses at all four electrode sites. Features of trapeze harness design that appear to minimize muscular tension include heavy, rigid padding throughout the harness, full-length shoulder-to-buttocks support of the trunk, and adjustable leg strap supports as opposed to a crotch strap.
Susan J. Hall, Jane A. Kent, and Vern R. Dickinson
Rahul Marwaha, Susan J. Hall, Christopher A. Knight, and Slobodan Jaric
The aim of the study was to reveal specific aspects of impaired hand function in mildly affected multiple sclerosis (MS) patients. Static manipulation tasks were tested in 13 mildly impaired (EDSS 1.5-4) MS patients and 13 age and gender matched controls. The tasks were based either on presumably visually (i.e., feedback) controlled tracing of depicted patterns of load force (LF; produced by symmetric bimanual tension and/or compression applied against an externally fixed device) or on predominantly feed-forward controlled amplitudes of sinusoidal patterns of LF. The task variables (based on accuracy of exerting the required LF pattern) suggested poor performance of MS subjects in feedback, but not in the feed-forward controlled tasks. The patients also revealed higher GF/LF ratio in all tasks. However, the coordination of GF and LF appeared to be comparable in the two groups. These results continue to support the chosen experimental paradigm and suggest that in mildly affected MS patients, sensorimotor deficits and overgripping precede the decoupling of grip and load forces observed in more severely affected patients.
Walter E. Davis, Boni Boswell, Diane Craft, Sue Gavron, Susan J. Hall, Barry Lavay, Wendell Liemohn, Jeff McCubbin, and Ted Tedrick
Walter E. Davis, Marcel Bouffard, Allen Burton, Steve Butterfield, Diane Craft, Susan J. Hall, Barry Lavay, Wayne Munson, Terry Rizzo, Stuart Schleien, Paul Surburg, and Ted Tedrick
Walter E. Davis, Boni Boswell, Allen W. Burton, Stephen A. Butterfield, Pat DiRocco, Susan J. Hall, Gary Kamen, Jeff McCubbin, Wayne Munson, and Terry L. Rizzo
Walter E. Davis, Boni Boswell, Allen W. Burton, Steven Butterfield, Diane H. Craft, Pat DiRocco, Susan J. Hall, Barry Lavay, Richard D. MacNeil, Terry L. Rizzo, Stuart J. Schleien, and Paul Surburg
Juliessa M. Pavon, Richard J. Sloane, Carl F. Pieper, Cathleen S. Colón-Emeric, David Gallagher, Harvey J. Cohen, Katherine S. Hall, Miriam C. Morey, Midori McCarty, Thomas L. Ortel, and Susan N. Hastings
This study describes the availability of physical activity information in the electronic health record, explores how electronic health record documentation correlates with accelerometer-derived physical activity data, and examines whether measured physical activity relates to venous thromboembolism (VTE) prophylaxis use. Prospective observational data comes from community-dwelling older adults admitted to general medicine (n = 65). Spearman correlations were used to examine association of accelerometer-based daily step count with documented walking distance and with duration of VTE prophylaxis. Only 52% of patients had documented walking in nursing and/or physical therapy/occupational therapy notes during the first three hospital days. Median daily steps recorded via accelerometer was 1,370 (interquartile range = 854, 2,387) and correlated poorly with walking distance recorded in physical therapy/occupational therapy notes (median 33 feet/day [interquartile range = 12, 100]; r = .24; p = .27). Activity measures were not associated with use or duration of VTE prophylaxis. VTE prophylaxis use does not appear to be directed by patient activity, for which there is limited documentation.